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CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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  • Webinars

March 25, 2023

Webinars

Live webinars are offered monthly and will be available on-demand following each event. Webinars are an exclusive member benefit! Registration and on-demand access is always FREE to CodingIntel members. Have a suggestion for a webinar topic? Email us using the contact link at the bottom of this page.

Coding for hospital services | Webinar

Event date: April 20, 2023

First, CPT® updated their E/M code set. Then, CMS interpreted the updates and applied their own reimbursement rules to the code set. This webinar will summarize CPT® rules and CMS’s February 2023 transmittal that addresses inpatient and observation billing by the admitting and consulting physicians, admission to inpatient status following observation care, and multiple visits in a single day. Participants will hear about the similarities and differences in code selection between CMS and CPT®. This update includes changes from the 2023 CPT® code set and CMS’s February 2023 transmittal. The webinar will discuss when coding instruction is the same for CPT® and CMS and when it varies.

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Code Prolonged Services with Confidence | Webinar

Recorded March 16, 2023

Prolonged care coding has new challenges in 2023. There are both CPT® codes and HCPCS codes. The two code sets use different time thresholds. For some prolonged care services, CMS is allowing work done on a day prior to the primary visit and days after the visit, and some allow work done on days after the visit. This webinar will describe the coding rules for each set of prolonged care codes, and discuss the CPT/CMS variance in non-face-to-face prolonged care.

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CMS Teaching Physician Rules Update | Webinar

Recorded February 16, 2023

The teaching physician rules provide payment to an attending physician for services performed jointly by an attending and a resident. The required participation and documentation of the attending varies for E/M services, critical care, psychiatry and procedures. This webinar will review the basics of the CMS rules and the specific participation and documentation requirements for each type of service. The presentation will also include a description of the waivers in place during the PHE.

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Annual CPT® Changes | Webinar

Recorded January 19, 2023

The American Medical Association’s 2023 update to the CPT® Manual includes over 200 new codes, 75 deletions, and almost 100 revisions, set to take effect January 1. One of the most significant changes will be revised code descriptions and guidance for reporting observation care visits, emergency department
visits, consultations, and other E/M services. This session will also explore new codes for percutaneous AV fistulas, pulmonary artery stenting, abdominal hernia repair procedures and the list goes on!

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CMS’s Final Physician Fee Schedule Rule for 2023 | Webinar

Recorded December 15, 2022

CMS released the PFS Final Rule 11/1/2022, right on time, giving practices time to prepare for the policy and coding changes that will be effective January 1, 2023. Naturally, there are a few telehealth updates. CMS describes their coding policies related to the E/M changes coming in the new year, including prolonged care. Other news: how to define the substantive portion of split/shared visits in 2023, allowing audiologists to perform certain tests without a physician/NPP order, counting time for critical care and colorectal screening.

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Coding Hospitalist Services | Webinar

Recorded November 17, 2022

Be ready for the changes to the 2023 E/M code set for hospital services, including inpatient, observation, and emergency department encounters. The American Medical Association is extending the 2021 framework for office visits to the remainder of E/M services selected by key components or time. In the process, they have consolidated hospital and observation coding, and changed the guidelines related to reporting these services. The medical decision-making grid has additions that will directly impact selecting a level of service for hospital visits. Join us for this webinar. While the content is relevant for all specialties, the examples in this webinar will be hospitalist initial care services.

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ICD-10-CM: 2023 Coding and Reporting Guidelines | Webinar

Recorded October 20, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) update the ICD-10 Official Guidelines for Coding and Reporting.  This year is no exception. The Guidelines are approved each year by the 4 organizations, that make up Cooperating parties.  They are the American Hospital Association  (AHA), the American Health Information (AHIMA), as well as the CMS, and the NCVHS.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Recorded September 22, 2022

As expected, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes.  They extended the documentation framework in place for office visits to these codes. They also deleted twenty-five codes. Coding for prolonged care services gets another overhaul, with four deleted codes, one new code, and revised guidelines. Join us for this webinar to hear about these changes which are effective January 1, 2023.

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2023 CMS Proposed Physician Rule | Webinar

Recorded August 25, 2022

Some parts of Medicare’s 2023 proposed rule are entirely predictable. The conversion factor is less than last year’s conversion factor. But there are a few things that are unexpected. They propose to continue to allow flexibility in determining the substantive portion for selecting a shared/split service for another year. There is a long section on rules for hospital, observation, and home services and additional changes to prolonged care codes. This webinar will describe the policy proposals in the 2023 Proposed Physician Rule.

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Coding Principles for Practice Administrators | Webinar

Recorded: July 21, 2022

Administrators managing both fee-for-service and value based payment contracts must maximize revenue and minimize risk in coding for services performed in their practices. Administrators—who aren’t coders—can accomplish this through by knowing where to find definitive answers and how to assess citations and conflicting information that is presented. This webinar will provide a framework for administrators when they are called about to mediate coding disagreements within their practices.

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CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Recorded: June 23, 2022

CodingIntel welcomes back Shannon McCall of HCPro. This webinar will review obstetrical global package codes , colposcopic/hysteroscopic procedures, and FY 2023 ICD-10-CM proposed additions for OB/GYN diagnoses. Shannon will also describe when it is appropriate to unbundle pregnancy package codes, how to assign CPT® codes for abortive outcomes and more.

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Medicare Rules for Incident-to Billing and Shared Services | Webinar

Recorded May 19, 2022

With the 2022 change to shared services, it’s a good time to review the unchanged incident-to rules and the updated shared services rules. Incident-to services are services performed in a non-facility setting by clinical staff or non-physician practitioners. Shared services are E/M services jointly performed by a physician and non-physician practitioner in a facility setting. Understanding the rules for these is both a revenue and a compliance imperative.

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E/M auditing | Webinar

Recorded April 21, 2022

In this webinar, Betsy audits three E/M notes, one primary care note, one medical specialty note, one surgical specialty note. Using the sample notes, this webinar reviews the three elements of medical decision making. Poll questions, allow participants to think about their assessment of the components of each note and compare their assessment with their peers.

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Coding Critical Care Services | Webinar

Recorded January 2023 

CMS made significant changes to critical care coding effective in 2022. Not only did CMS adopt CPT prefatory language and rules, they did a 180 degree turn on allowing non-physician practitioners (NPPs) and physicians of the same specialty, in the same group to perform critical care as a split/shared visit. CMS developed a HCPCS modifiers for shared services, and for unrelated critical care in the post op period. This webinar will describe when those modifiers should be used.

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Modifier update 2022

Recorded February 17, 2022 

CMS released four new modifiers at the end of 2022, and CPT released one. These include modifiers for split/shared services, critical care in the post op period, audio-only telehealth services and physician supervision via audio/visual communication. It’s a lot of change for medical practices and coders. This webinar will describe the rules for using these services, based on CMS transmittals released mid-January. There will be a brief discussion of the new place of service code 10 and CMS’s policy about it.

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Update to ICD-10-CM in 2022 including COVID and SDoH | Webinar

Recorded November 18, 2021

While there are only 159 new diagnosis codes in the ICD-10-CM code set, effective October 1, 2021, there updates to the official guidelines that coders need to know about. Not surprisingly, the guideline changes emphasize specificity. There are new codes for the Social Determinants of Health (SDoH) and who can document these in order to capture them on the claim form. There is a new code for post-COVID-19 and instructions for its use. This webinar will highlight the new codes and guideline changes for this code set.

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Best Practices in Revenue Cycle Management | Webinar

Recorded October 21, 2021

Medical practices face new risks and opportunities as changes to the healthcare marketplace ignite the pressure to strengthen revenue cycle management (RCM). In this webinar, speaker, author, and consultant Elizabeth Woodcock provides a roadmap to optimize your practice management system, prevent denials, and strengthen cash collections. Find out about initiatives you can implement immediately.

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Preventive medicine and Medicare wellness visits with an E/M | Webinar

Recorded September 16th, 2021

This webinar will provide an overview of what is included in preventive services and Medicare wellness visits, and when a problem-oriented visit can be reported in addition. It will provide a framework for practices when determining when there is significant extra work performed and documented, supporting the addition of a problem-oriented visit.

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Overview of FQHC Coding | Webinar

Recorded June 24, 2021

Coding for services in Federally Qualified Health Centers (FQHCs) is different than coding for free-standing medical practices or health system clinics. Services provided to patients under the FQHC Prospective Payment System (PPS) are reported differently than to patients with private insurance, in the same clinic. This webinar will describe what constitutes a visit, who may perform an FQHC visit, and what services may be provided.

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Coding office visit codes 99202—99215 | Webinar

Recorded June 12th, 2021

It’s here, the  first major changes for selecting an E/M service since 1997. Clinicians are only  required to document “a medically appropriate history and/or physical exam, when performed.” Code selection is based on time or medical decision making. The instructions on using time for codes 99202—99215 are all new.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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